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Apr 14, 2023

Redness around stoma after amoxicillin - Need healing advice

This topic is about dealing with redness and irritation around a stoma, which developed after taking amoxicillin. The medication caused watery stool, leading to some leakage under the barrier and resulting in irritated skin. Here are some helpful tips and advice to help the skin heal and manage the situation:

1. Crusting Method:
- Remove the appliance and take a shower using mild soap. Rinse thoroughly and try to air-dry the area for as long as possible.
- Dust the irritated skin with stoma powder, such as generic stoma powder, Stomahesive powder, or Karaya powder.
- Gently blot the area with a no-sting barrier wipe to create a protective crust. Allow it to dry before applying a new barrier.

2. Shampoo Wash:
- After your usual wash, apply ORIGINAL Head & Shoulders shampoo (any version with pyrithione zinc) to the area. Leave it on for one minute, then rinse thoroughly. Pyrithione zinc has anti-fungal and calming properties.

3. Anti-fungal and Soothing Powders & Sprays:
- Use Lotrimin AF Powder Spray (miconazole) on the area, then pat with no-sting barrier wipes for cooling relief. This method helps the product stay in place better than loose powder.
- Try Domboro soaks by mixing a packet with water, soaking a paper towel, and placing it around the stoma for 10 minutes daily until the irritation resolves. Generic store-brand packets work just as well.

4. Extra Skin-Protective Products:
- Apply a thin layer of Butt Paste diaper-rash cream, wipe off any excess, then add Karaya or stoma powder before securing the wafer.
- Use Stomahesive powder around the gap between the flange and stoma at each change to help keep the area dry.

5. Practical Air-Dry Tips:
- Lie on a towel or puppy pad, or sit on the bed with tissues or a trash can nearby to catch any output during drying time.
- Use a ceiling fan or a hand-held fan to speed up the drying process.

6. When to Seek Medical Help:
- If the redness worsens, blisters appear, or self-care measures do not work, visit your doctor or a Wound, Ostomy, and Continence (WOC) nurse. They can provide prescription creams or reassess the fit of your pouch. Persistent leakage may indicate that the barrier is not being applied optimally.
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